Lalaaa An
@lalaaaan
Experienced healthcare authorization specialist with strong billing, call center, and care coordination expertise.
What I'm looking for
I am a healthcare authorization specialist with over five years of experience in high-volume call center and authorization environments, skilled at managing 40–90 prior authorization cases daily, Medicaid pre-service authorizations, provider outreach, and claims inquiries. I ensure accurate documentation, coding verification, and compliance with federal healthcare guidelines while supporting patient navigation and behavioral health referrals.
I've worked remotely handling high call volumes and complex authorizations, and have a solid background in medical billing, invoice and payment processing, and managing past-due balances. I am proficient with Microsoft Office Suite, QuickBooks, Paylocity, CRM platforms, electronic health systems, and case/documentation management software, and I prioritize clear provider communication and HIPAA-compliant data handling.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Wipro / UnitedHealthcare
Jun 2022 - Aug 2025 (3 years 2 months)
Processed 40–90 prior authorization cases daily and handled 60–80 inbound/outbound calls, conducting Medicaid pre-service authorizations, benefit verifications, and provider outreach to secure clinical documentation and notices of determination.
Call Center / Care Navigator Specialist
Robert Half / Naveris
Nov 2018 - Jan 2022 (3 years 2 months)
Enrolled patients into behavioral health programs, coordinated referrals and tracked progress while handling billing questions, entering service codes, and managing patient records in internal systems.
Medi-Cal Call Representative
Morley
May 2017 - Oct 2018 (1 year 5 months)
Handled 200+ inbound calls daily for patient support and appointment coordination, resolved basic billing inquiries, entered coding data, and maintained administrative logs and office support tasks.
Education
Degrees, certifications, and relevant coursework
Walden University
Master of Science, Healthcare Administration
Master's degree in Healthcare Administration with a major in Psychology from Walden University, Columbia, MD.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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